Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREA ELENBAAS, D.M.D.
Active Sole ProprietorDR. ANDREA ELENBAAS, D.M.D. is a 1223X2210X healthcare provider located in GULFPORT, Mississippi. NPI 1922125947 is currently active in the NPPES registry. Verify at CMS.
1223X2210X · GULFPORT, MS
Registration Details
- NPI Number
- 1922125947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2007 (19.399701648497 yrs)
- Last Updated
- Nov 28, 2023
- Licenses
-
2934-96 (MS)2934-96 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
370 COURTHOUSE RD STE 103GULFPORT, MS, 395071889Browse MS providers · Browse ZIP 39507
- Phone
- 2282031700
- Fax
- 2282031770
- Primary Specialty
-
1223X2210X
1223X2210X
- Additional Specialty
- General Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.